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Cardiology Coding Alert

CPT® Updates:
6 Steps Speed Your Mastery of New Dialysis Circuit Intervention Codes
Study the guidelines to discover lower extremity dialysis circuit definitions. It’s... Read more
CPT® Update:
Need to Know New Codes 37246-37249 on a Deeper Level? Try This Angioplasty Q&A
Finally solve the mystery of which vessels these codes apply to. If you asked the CPT&... Read more
ICD-10-CM:
Take Your Cardiology ICD-10-CM Compliance to the Next Level With 3 Tips
Do you know where to find the Excludes1 note for congenital aorta malformations? At this ... Read more
Reader Question:
Embolization or Stent? Know the Code
Question: When an encounter includes both coil embolization and coronary stent plac... Read more
Reader Question:
Seek Out Scope of Practice for Moderate Sedation
Question: We’ll be reporting moderate sedation separately in 2017 thanks to t... Read more
Reader Question:
See Where to Add Clinical Trial Number
Question: Where do I report a clinical trial number on an 837P form? New York Sub... Read more
Reader Question:
Distinguish Lead From Electrode for PM Coding
Question: For pacemakers, I hear the terms lead and electrode used like they’... Read more
You Be the Coder:
Decide Coumadin Management Risk
Question: In the E/M Table of Risk, where does prescription drug management of Coum... Read more
CPT® Updates:
Relearn Angioplasty Coding to Prepare for 2017 CPT® Code Changes
Yet another group of intervention codes will bundle in S&I. When the calendar flips t... Read more
CPT® Updates:
Cozy Up to These New Moderate Sedation Codes — You'll Need to Know Them in 2017
Remember to count to 15 instead of 30. Last month’s Cardiology Coding Alert brok... Read more
ICD-10-CM:
Not Rheumatic, Rheumatic, or Unspecified? Clip and Save This Valve Disorder Job Aid
Be sure you catch the mitral valve insufficiency twist. Coding for chronic heart valve... Read more
Reader Question:
End Your Search for Endoleak Dx Code
Question: What diagnosis code should I use for an endoleak after an aortic endograf... Read more
Reader Question:
Eye I47.2 for Nonsustained VT
Question: Is I47.2 correct for nonsustained ventricular tachycardia? Georgia Subs... Read more
Reader Question:
Pair Elevated Creatine Kinase With 'Other' Code
Question: How do I report elevated creatine kinase? Utah Subscriber Answer:&nbs... Read more
Reader Question:
Know Nuclear Stress Test Coding Essentials
Question: I’m getting back into coding stress tests again after not coding th... Read more
You Be the Coder:
ID ICD-10 and CPT® for Generator Change
Question: I’m reporting replacement of a pacemaker battery (multiple lead), w... Read more
CPT® Changes:
Take Charge of CPT® 2017 Updates With a Cardiology Overview
Overlooking this moderate sedation news could cost you. From angioplasty to coronary IVUS... Read more
ICD-10:
Get Up to Speed on ICD-10-CM 2017 Official Guidelines for Hypertension
Don’t miss this game changer for the causal relationship requirement. You may have ... Read more
Ask the Expert:
Want to Reduce Myocardial SPECT Denials for Medicare Beneficiaries? Here's How
Replacing standard stress tests with SPECT won’t fly. Audits of myocardial SPECT... Read more
Reader Question:
Focus on PC for MPPR Change
Question: I heard there was a change in the MPPR reduction. Does that apply to both... Read more
Reader Question:
Watch Global for 93660 With E/M
Question: Do I have to append modifier 25 to 93660 for an E/M on the same date as a... Read more
Reader Question:
Apply I24.0 for Embolism Without MI
Question: Which ICD-10 code applies to an acute embolism in a coronary artery if th... Read more
Reader Question:
Unlock the Meaning of Diagnostic Coronary Angiography
Question: I was at a seminar that said not to code diagnostic angiography for plann... Read more
Reader Question:
74715 Remains the Best Renal CTA Option
Question: I found an old Reader Question that said to use 74175 for interpretation ... Read more
You Be the Coder:
Decide Whether to Code Lead Repositioning in Global
Question: If an ICD lead dislodges during the global period of the insertion, can I... Read more
CCI:
Add These 4 New Groups of Code Edits to Your Cardiology Coding Know-How
Discover which two groups of bundles you can never break. When Correct Coding Initiative ... Read more
CMS Update:
Angioplasty of 4 Major Coronary Arteries? Get Your Appeal Ready
Brush up on the difference between line item and date of service MUEs. Starting July 1... Read more
Quiz:
3 Questions Help You Determine Your ICD-10 Prep Score
Are you ready to code hypertensive crisis, stent stenosis, and congenital cases? Your ... Read more
Reader Question:
Check Code, POS, and Mod 26 for Inpatient TEE
Question: If the cardiologist performs inpatient TEE, do I report that with 93312, 93... Read more
Reader Question:
2 Visits,1 Code for Same-Group Observation
Question: How do I report observation services by two of our cardiologists on the s... Read more
Reader Question:
Spot Counseling E/M Coding Opportunities
Question: Can you explain when to code E/M based on time for counseling? New Mexi... Read more
Reader Question:
Aim for Accurate AV Shunt Coding
Question: I code for certain dialysis AV shunt services like angioplasty and stenti... Read more
Reader Question:
Require Specifics for Doppler Coding
Question: Can +93325 for color flow be done without +93320 for spectral when the pr... Read more
You Be the Coder:
How Many Codes Does This PCI Add Up To?
  Question: How should I report this procedure? Atherectomy in the prox... Read more
Medicare:
Nix 93042 Rhythm Strip Errors With These Audit Insights
Reporting this ECG code for an inpatient? Check our tips first. If you’ve got pl... Read more
ICD-10-CM:
Get Ready for Medicare's 'Code Family' Clemency to End This Fall
Denials could skyrocket if your specificity isn’t up to scratch. CMS and the CDC... Read more
CMS Update:
Move Medicare's Modifier JW Change From July to January
Use the extra time to check your documentation and coding skills are ready. In the last i... Read more
Reader Question:
Apply This Primary Code List to +37252
Question: Is there a list of appropriate primary codes for IVUS code +37252? Mass... Read more
Reader Question:
Choose 78 for OR-Treated Complication
Question: A patient returned to the operating room to treat a complication within the... Read more
Reader Question:
Don't Stop at Default Dyspnea and PHTN Codes
Question: What are the codes for dyspnea and pulmonary hypertension? SuperCoder.c... Read more
Reader Question:
Keep Clinical Trial in Mind for LAAC
Question: We’re researching how to report percutaneous LAAC services. Can you... Read more
Reader Question:
Tread With Care for Inpatient Modifier 24 Use
Question: Can you use modifier 24 when the surgery and the E/M with 24 have the sam... Read more
You Be the Coder:
How Do You Code Coronary Aspiration Thrombectomy?
Question: There’s a note with +92973 that says not to use the code for aspira... Read more
Denial Prevention:
80 Percent of Vascular Study Claims Are Wrong, Reveals NGS Review
Would your duplex scan coding pass the test? If you report non-invasive vascular studies,... Read more
ICD-10-CM:
Sequence Z Code First on These CABG Mapping Claims for NGS
Linking scans to preprocedure encounter codes is the key to compliant coding. You alre... Read more
Code Edits:
Need Another Reminder You Can't Report INR Codes? CCI 22.1 Answers the Call
Reporting 99363, 99364, or G0250 with these inpatient E/Ms will trigger a denial. Medi... Read more
Modifier:
Turn to Modifier 32 When Outside Party Has Power to Mandate a Service
Don’t assume this modifier is for E/M only. In some cases, your cardiologist may... Read more
Reader Question:
Prep for New National JW Rule
Question: I heard there's finally a single rule about how to use modifier JW. What is... Read more
Reader Question:
Make Room for New Echo Cat. III Code
Question: Are there any Category III codes expected for cardiology this July? Sou... Read more
Reader Question:
Check 93641 Modifier 51 Exempt Status
Question: I have a question from the May 2016, vol. 19, no. 5, Cardiology Coding Aler... Read more
Reader Question:
Base POS on Face-to-Face Setting, Usually
Question: If I’m coding for the PC of a test performed in an outpatient hospi... Read more
You Be the Coder:
Put Prolonged QTc Question to Rest
Question: Which ICD-10-CM code should I use for a prolonged QTc interval? Indiana... Read more
Cardiac Devices, Part 1:
Reconcile CMS Frequency Guidelines With CPT® Reporting Guidelines to Avoid 93293 Mistakes
Beware of PC/TC issues for transtelephonic PM monitoring, too. After a pacemaker is in... Read more
Cardiac Devices, Part 2:
Combine NCD Frequency Guidelines With LCD Details for Pacemaker Clinic Services
When the national policy doesn’t define applicable codes, your local policy may be... Read more
Documentation:
Reporting Add-On Code With PVI? Check Mechanism First
Then be sure you understand the difference between +93655 and +93657. In Cardiology Codin... Read more
CPT® 2016:
Deepen Your Understanding of TPVI With Expert Insights
Discover when you can report additional codes with this $1,345 procedure. We're almost ha... Read more
Reader Question:
See G0278 for Non-Selective
Question: When did G0278 start specifying it was for non-selective services? SuperCo... Read more
Reader Question:
Keep an Eye Out for KX Pacemaker Requirements
Question: What’s the status of the modifier KX requirement for pacemakers? ... Read more
You Be the Coder:
Pick Subclavian Venography Code
Question: Which code should I use for diagnostic subclavian venography? Wisconsin... Read more
Coding News:
Size Up These 7 Cardiology Changes Planned for ICD-10-CM 2017
Wishing for a coronary stent stenosis code? You won't have long to wait. The CDC has post... Read more
Proposed Update:
Does Your Cardiologist Document MI Type 1-5?
This classification may be integral to ICD-10-CM code choice starting in October. ICD-... Read more
Coding Essentials:
Match Modifier 25 to Your Claim With Confidence When You Know the Rules
Ask yourself 4 questions to help support your choice. A lot of coders have a love/hate re... Read more
Reader Question:
Add 'If Present' to 'Code First'
Question: “Succeed at Heart Failure Coding With ‘Code First’ and ... Read more
Reader Question:
Count Negative HPI Finding Under Symptoms
Question: If the documentation shows a negative finding for HPI, can I count that? ... Read more
Reader Question:
Break Programming Out of Global
Question: If we see a patient for pacemaker or AICD programming during the global p... Read more
Reader Question:
Pick Apart Tibial Guidelines
Question: How should I report atherectomy in the posterior tibial and tibioperoneal... Read more
Reader Question:
Capture Both Pro Codes for Facility Stress Test
Question: If the cardiologist supervises a stress test at the hospital and performs... Read more
You Be the Coder:
Append Modifier 24 to This Inpatient Claim?
Question: Suppose the cardiologist sees a patient in the hospital and performs a pace... Read more
Part 2:
Here's What's New in the 2016 CCI Manual for Angiography and Stress Tests
Changes are playing catch up to CPT® manual and edit rules. In the last issue of Ca... Read more
NCD News:
LAAC Coverage Update Brings New Importance to 0281T
NVAF diagnosis requirement points you to I48.- category. If your cardiologist performs... Read more
MPFS News:
Did You Catch the Change to the 2016 Conversion Factor?
Time to start counting pennies. CMS recently announced a $.02 adjustment to the 2016 p... Read more
E/M:
2 Chest Pain Examples Show How Documentation Changes HPI Level
Don't let counting duration drag you into error territory. To succeed at E/M coding, you ... Read more
Reader Question:
Ask If Problem Is New to Practice
Question: I want to be sure I’m coding correctly for E/M. If our new cardiolo... Read more
Reader Question:
Reopen Rather Than Resubmit for Mod 25
Question: If I submit a claim for an office visit and then later receive documentat... Read more
Reader Question:
Factor Modifier 52 Into iFR Reporting
Question: Should I use an unlisted code or +93571 for iFR (Instant Wave-Free Ratio)? ... Read more
Reader Question:
Double Up for This Graft Scenario
Question: The cardiologist placed a stent in the LAD first diagonal through a venou... Read more
Reader Question:
Aim for Angioplasty/Atherectomy Accuracy
Question: My cardiologist performed cutting balloon atherectomy. Services were for th... Read more
Reader Question:
Take Stress Test in Stride
Question: How should I code this case performed at our office? The patient received... Read more
You Be the Coder:
Pick Paroxysmal Atrial Fibrillation Case Codes
Question: In a patient with paroxysmal atrial fibrillation, the EP performed cathet... Read more
2016 News:
2 CCI Manual Updates to Know Before You Code Your Next Cardiology Claim
All new wording appears for RHC and EP. The Correct Coding Initiative (CCI) manual has an... Read more
Cardiac Procedures:
Take Your RHC and Endomyocardial Biopsy Savvy Up a Notch
Find out what the OIG is watching for this procedure pair. Rules for coding an abbreviate... Read more
ICD-10-CM:
Succeed at Heart Failure Coding With 'Code First' and Payer Policy Answers
Watch for Index hints to help with etiology/manifestation codes. How did you fare when... Read more
CPT® 2016:
Know When to Use 93050 for Central Arterial Pressures
Knowing when NOT to use the new code is just as important. AMA CPT® Editorial Pane... Read more
Reader Question:
Think Twice Before Reporting H&P With E/M
Question: Our physician performed an endovenous ablation procedure three days after... Read more
Reader Question:
Return to 92943 for Retrograde CTO
Question: If the cardiologist uses retrograde access, such as advancing a wire thro... Read more
Reader Question:
Don't Count 36556 in 99291 Time
Question: The physician provides 84 minutes of care to a critically injured patient... Read more
You Be the Coder:
Consider Reporting 75710 With LHC
Question: Documentation shows a left heart catheterization and a lower-extremity angi... Read more
ICD-10-CM:
New Proposed Codes Could Change Your Heart Failure Coding in October
End stage, right ventricular, ejection fraction, and high output are the ones to watch. A... Read more
ICD-10-CM:
See How ICD-10 2017 May Shake Up Coding for A-Fib and More
Pulmonary hypertension and the index could see changes, too. Heart failure coding coul... Read more
CPT®2016;:
3 Tips Shore Up Your Noncoronary IVUS Coding in 2016
For these add-on codes, you get a list of which codes you can NOT use as primary. The ... Read more
Reader Question:
Look Beyond Descriptor for Shunt Detection
Question: I’m coding cardiac shunt detection by echocardiography. I found cod... Read more
Reader Question:
Put to Rest When Payers Will Accept POS 19
Question: I’ve seen the news about new outpatient POS 19. Is the start date based ... Read more
Reader Question:
Watch for 'Gated' to ID MUGA
Question: I read an article that said not to report MUGA with MPI. I’m new to nucl... Read more
Reader Question:
Distinguish Mod 52 Requirements by Type
Question: I’ve seen conflicting advice about whether I need to send in documentati... Read more
You Be the Coder:
Know Codes for Emergent NSTEMI Intervention
Question: The emergency department sent an AMI patient (NSTEMI) through to the cath lab ... Read more
HCPCS 2016:
Know What's New for Lumason, Kengreal, and CT Scans for Shiny Clean Claims in the New Year
Plus: Get Varithena coding tips from the HCPCS committee preliminary decision. With al... Read more
ICD-10-CM:
Tuck Cardiovascular Symptoms, Chest Sounds, and More Into R09.89
Arterial bruit and rales now fall under the same code. Given the increased specificity... Read more
News:
Look for a National Policy on LAAC Coverage Coming Down the Pike
National requirements for FDA-approval and local requirements for code use could affect ... Read more
CMS:
Keep Tabs on Conversion Factor and Advance Care Planning Updates With 2016 MPFS Overview
Find answers to questions about ‘incident to’ and global periods. The 2016 Me... Read more
Reader Question:
Follow Latest Guidance on Excludes1 for ICD-10
Question: When a cath is done and the patient has CAD in a native vessel that was n... Read more
Reader Question:
Capture Codes for 2 PCI Services
Question: The cardiologist performed a PTCA in the LIMA graft to the first diagonal... Read more
Reader Question:
Check Global and Policies for Modifier 25
Question: The cardiologist interpreted an echo for a hospital patient in the morning ... Read more
You Be the Coder:
Handle Congenital Left Heart Cath Question
Question: How should we report left heart catheterization in an adult patient with ... Read more